Jacob Saied Ghannam Jr, MD in Royal Oak, MI

Jacob Saied Ghannam Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Royal Oak, Michigan. His current practice location is 3601 W 13 Mile Rd, Royal Oak, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 898-5000.

Jacob Saied Ghannam Jr is licensed to practice in Michigan (license number 4301505324) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629631213.

Contact Information

	Jacob Saied Ghannam Jr, MD
	3601 W 13 Mile Rd, Royal Oak, MI 48073-6712
	(248) 898-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Saied Ghannam Jr
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	3601 W 13 Mile Rd, Royal Oak, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629631213
Provider Enumeration Date: 04/18/2019
Last Update Date: 08/05/2025

Medicare PECOS Information:

PECOS PAC ID: 0446593453
Enrollment ID: I20240716002882

Medical Identifiers

Medical identifiers for Jacob Saied Ghannam Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629631213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4301505324 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Saied Ghannam Jr allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325

Entity Name	Metropolitan Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Saied Ghannam Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Saied Ghannam Jr, MD 26901 Beaumont Blvd, Southfield, MI 48033-3849 Ph: () -	Jacob Saied Ghannam Jr, MD 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-5000

Reviews and Comments

Radiology Doctors in Royal Oak, MI

Terrence Metz, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000
Christopher W Keyes, MD Radiology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7266
Stephen Hudak, Radiology Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-6262
Elias Antypas, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509
Kent Donovan, Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509
Dr. John Douglas Ebersole, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6064
Ajwad Bajwa, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-0424

Jacob Saied Ghannam Jr, MD - Medicare Radiology in Royal Oak, MI